Acute Aortic Thrombosis Following Anterior Resection - A Rare Complication
INTRODUCTION : Anterior resection is a commonly performed surgery for rectal cancer worldwide. It is associated with a wide spectrum of complications which include haemorrhage, pelvic sepsis, wound infection, anastomotic breakdown, deep vein thrombosis, peripheral nerves injury, impotence and urolog...
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| Format: | Article |
| Language: | English |
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Shiraz University of Medical Sciences
2020-06-01
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| Series: | Iranian Journal of Colorectal Research |
| Subjects: | |
| Online Access: | https://colorectalresearch.sums.ac.ir/article_46754_1682a29feecb39765ebb9f315f3b248d.pdf |
| _version_ | 1811181673591603200 |
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| author | Muhamad Izwan Ismail Hoong Yin Chong Wan Khamizar Wan Khazim |
| author_facet | Muhamad Izwan Ismail Hoong Yin Chong Wan Khamizar Wan Khazim |
| author_sort | Muhamad Izwan Ismail |
| collection | DOAJ |
| description | INTRODUCTION : Anterior resection is a commonly performed surgery for rectal cancer worldwide. It is associated with a wide spectrum of complications which include haemorrhage, pelvic sepsis, wound infection, anastomotic breakdown, deep vein thrombosis, peripheral nerves injury, impotence and urological dysfunction. However acute aortic thrombosis post anterior resection is a very rare complication. CASE PRESENTATION : We report a rare case of aortic thrombosis in a 67 year old gentleman following anterior resection for rectal cancer. DISCUSSION : We also discuss its possible causes as there are many postulations to the cause of this devastating complication. Prolonged surgery, abnormal blood coagulation in cancer patient, lithotomy position and the presence of peripheral vascular disease are predisposing factors contributing to this rare acute aortic thrombosis in our patient. A standard routine neurovascular examination of the extremities should be done in the postoperative period to help detect early any neurovascular complication. The use of prophylactic anticoagulant such as fondaparinux, low molecular weight heparin or low dose unfractionated heparin are strongly recommended in high risk surgery patients undergoing a major surgery which helps prevent thromboembolic episode following surgery. |
| first_indexed | 2024-04-11T09:21:34Z |
| format | Article |
| id | doaj.art-7ec949ae686a4c08b971fcba5022eb32 |
| institution | Directory Open Access Journal |
| issn | 2783-2430 |
| language | English |
| last_indexed | 2024-04-11T09:21:34Z |
| publishDate | 2020-06-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Colorectal Research |
| spelling | doaj.art-7ec949ae686a4c08b971fcba5022eb322022-12-22T04:32:10ZengShiraz University of Medical SciencesIranian Journal of Colorectal Research2783-24302020-06-018210110310.30476/acrr.2020.4675446754Acute Aortic Thrombosis Following Anterior Resection - A Rare ComplicationMuhamad Izwan Ismail0Hoong Yin Chong1Wan Khamizar Wan Khazim2Department of Surgery, Hospital Sultanah Bahiyah, Alor Setar, MalaysiaDepartment of Surgery, Hospital Sultanah Bahiyah, Alor Setar, Malaysia.Department of Surgery, Hospital Sultanah Bahiyah, Alor Setar, MalaysiaINTRODUCTION : Anterior resection is a commonly performed surgery for rectal cancer worldwide. It is associated with a wide spectrum of complications which include haemorrhage, pelvic sepsis, wound infection, anastomotic breakdown, deep vein thrombosis, peripheral nerves injury, impotence and urological dysfunction. However acute aortic thrombosis post anterior resection is a very rare complication. CASE PRESENTATION : We report a rare case of aortic thrombosis in a 67 year old gentleman following anterior resection for rectal cancer. DISCUSSION : We also discuss its possible causes as there are many postulations to the cause of this devastating complication. Prolonged surgery, abnormal blood coagulation in cancer patient, lithotomy position and the presence of peripheral vascular disease are predisposing factors contributing to this rare acute aortic thrombosis in our patient. A standard routine neurovascular examination of the extremities should be done in the postoperative period to help detect early any neurovascular complication. The use of prophylactic anticoagulant such as fondaparinux, low molecular weight heparin or low dose unfractionated heparin are strongly recommended in high risk surgery patients undergoing a major surgery which helps prevent thromboembolic episode following surgery.https://colorectalresearch.sums.ac.ir/article_46754_1682a29feecb39765ebb9f315f3b248d.pdfanterior resectionaortic thrombosisrectal cancersurgical management |
| spellingShingle | Muhamad Izwan Ismail Hoong Yin Chong Wan Khamizar Wan Khazim Acute Aortic Thrombosis Following Anterior Resection - A Rare Complication Iranian Journal of Colorectal Research anterior resection aortic thrombosis rectal cancer surgical management |
| title | Acute Aortic Thrombosis Following Anterior Resection - A Rare Complication |
| title_full | Acute Aortic Thrombosis Following Anterior Resection - A Rare Complication |
| title_fullStr | Acute Aortic Thrombosis Following Anterior Resection - A Rare Complication |
| title_full_unstemmed | Acute Aortic Thrombosis Following Anterior Resection - A Rare Complication |
| title_short | Acute Aortic Thrombosis Following Anterior Resection - A Rare Complication |
| title_sort | acute aortic thrombosis following anterior resection a rare complication |
| topic | anterior resection aortic thrombosis rectal cancer surgical management |
| url | https://colorectalresearch.sums.ac.ir/article_46754_1682a29feecb39765ebb9f315f3b248d.pdf |
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